Active NPIIndividual provider

Shane Mcnamara Gazzo, PA-C

Physician Assistant in Newport, Rhode Island

NPI Number1396425427
Practice location
6 John H Chafee Blvd, Newport, RI 02840-1034
Fax
—
Last updated
March 3, 2026

Shane Mcnamara Gazzo is a Physician Assistant based in Newport, RI. Shane Mcnamara Gazzo practices in Newport, RI and has the professional credentials of PA-C. The NPI Number for Shane Mcnamara Gazzo is 1396425427 and holds a License No. PA01603 (RI). The current practice location address for Shane Mcnamara Gazzo is 6 John H Chafee Blvd, Newport, RI 02840-1034 and can be reached out via phone at 401-848-2160.

Provider Profile Details

NPI Number
1396425427
Provider Name
Shane Mcnamara Gazzo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6 John H Chafee Blvd, Newport, RI 02840-1034
Phone Number
401-848-2160
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2023
Last Update Date
March 3, 2026
Certification Date
March 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 John H Chafee Blvd
Newport, RI 02840-1034
Zip
02840-1034
Phone Number
401-848-2160
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
6 John H Chafee Blvd
Newport, RI 02840-1034
City
Newport
State
RI
Zip
02840-1034
Phone Number
401-848-2160
Fax Number
401-847-4245

License Information

License Number
PA01603
License State
RI
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shane Mcnamara Gazzo, PA-C?

The NPI number of Shane Mcnamara Gazzo, PA-C is 1396425427. It was assigned on July 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Shane Mcnamara Gazzo, PA-C?

Shane Mcnamara Gazzo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01603.

Where does Shane Mcnamara Gazzo, PA-C practice?

The practice location is 6 John H Chafee Blvd, Newport, RI 02840-1034. The office can be reached at 401-848-2160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396425427 directly on the NPPES registry website.

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